Instrument for development of cultural competence

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The Swedish version of Cultural Competence Assessment Instrument (CCAI-S) can be used both in research as a data collection instrument and as a clinically applied instrument in various activities. Several research projects linked to the instrument are currently underway.

The self-assessment instrument aims to enable staff in different activities who meet clients from different cultural backgrounds to get a perception of their own cultural competence. Based on a number of items in CCAI-S, the professional assesses themselves and has the opportunity to raise awareness of the own cultural competence in relation to clients from different cultural backgrounds. CCAI-S can also be used as a basis for educational activities. These can contribute to the personal-centred actions undertaken as staff, thereby influencing evidence and contributing to the development and efficiency in the organisation.

CCAI-S is translated and cultural adapted by Jane Holstein, Gunilla Liedberg and Anette Kjellberg at the Unit for Occupational Therapy, Linköping University. The original instrument is called the Cultural Competence Assessment Instrument (CCAI-UIC) and is developed at the Department of Occupational Therapy, University of Illinois at Chicago, USA by Suarez-Balcazar, Y., Balcazar, F., Taylor-Ritzler, T., Portillo, N., Rodakowski, J., Garcia-Ramirez, M., & Willis. This Swedish version of CCAI-S is based on two research studies where utility and psychometric properties have been studied. Further studies are needed to test psychometric properties of CCAI-S in different settings.

The instrument comprises the components

  1. Openness and awareness
  2. Interaction skills
  3. Organisational support

Published studiesShow/Hide content

  • Holstein J. (2019). Cultural Competence for Health Professionals Instrument Development. Licentiate dissertation, Linköping University, Division of Occupational Therapy, Department of Social and Welfare Studies.
  •  Holstein J., Liedberg GM., Öhman A., & Kjellberg A. (2019) Validity and utility of the Swedish version of the Cultural Competence Assessment Instrument. British Journal of Occupational Therapy, 82(7) 422–432 doi: 10.1177/0308022619825813
  • Holstein, J., Liedberg, G. M., Suarez-Balcazar, Y., & Kjellberg, A. (2020). Clinical Relevance and Psychometric Properties of the Swedish Version of the Cultural Competence Assessment Instrument. Occupational Therapy International, 2020 (Article ID 2453239), 1-10. doi:10.1155/2020/2453239

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